%0 Journal Article
%T Caracter¨ªsticas psicol¨®gicas de pacientes submetidos a cirurgia bari¨¢trica
%A Magdaleno Jr.
%A Ronis
%A Chaim
%A Elinton Adami
%A Turato
%A Egberto Ribeiro
%J Revista de Psiquiatria do Rio Grande do Sul
%D 2009
%I Scientific Electronic Library Online
%R 10.1590/S0101-81082009000100013
%X introduction: the great number of patients submitted bariatric surgery who have psychological and psychiatric complications during the postoperative period require a thorough preoperative investigation and a categorization with the purpose of predicting possible complications and personalizing psychological care that might favor patient compliance. psychodynamic assessment may provide data for such categorization and, thus, suggest effective pre- and postoperative approach strategies. therefore, the objective of this study was to identify personality structures that may be useful in the postoperative follow-up, as well as additional inclusion and exclusion criteria for the surgical procedure. method: report of empirical survey conducted during psychotherapy sessions with an open group of patients who underwent bariatric surgery. discussion: after surgery, patients may experience phases of emotional restructuring, such as an initial phase of feeling triumphant, followed by a phase when there is risk of melancholic behavior and new addictions. we identified three categories of psychological structures: melancholic structure (patients seem to be more likely to develop other postoperative addictive behaviors, mainly eating disorders, since they cannot tolerate the frustration of the loss); dementalized structure (due to the lack of elaborative capacity, patients are unable to reorganize themselves in face of the challenge of keeping their weight under control); and perverse structure (patients comply with the scheduled weight loss; however, their behavior makes the health team experience uncomfortable situations). establishing psychological categories may be crucial in order to suggest postoperative management strategies, including referral to a psychotherapist with the purpose of providing personalized care, thus increasing specific therapeutic success.
%K morbid obesity
%K bariatric surgery
%K psychoanalysis
%K medical psychology
%K group psychotherapy.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0101-81082009000100013&lng=en&nrm=iso&tlng=en